Antonio Siniscalchi

Department of Neurology and Stroke Unit, Annunziata Hospital of Cosenza, Cosenza, Italy

Keywords: Acute neurological deficit, acute stroke, anterior circulation infarcts, functional outcome, posterior circulation infarcts, stroke scale


With stroke being the leading global cause of disability in adults, the use of clinical rating scales in stroke patients is important not only for diagnostic and therapeutic purposes but also for prognostic and care implications. Scales that quantify neurological disability can be particularly useful for assessing and guiding decisions in acute management and rehabilitative treatment. We analyzed and discussed some of the main rating scales most used in stroke in clinical practice, which measure both acute neurological deficit and functional outcome in stroke. In acute stroke, it is that in most cases, the scales evaluate a neurological deficit attributable to an alteration of the anterior and not posterior circulation and most of them assess a moderate stroke rather than a mild or severe one. In a rehabilitation treatment, they are sometimes too simplified; thus, the patient can reach a near normal score and can have significant cognitive deficits that can affect both the possibility of communication and the reliability of responses. A patient with autonomy in the activities of daily living may not be completely autonomous. In future, the use of composite rating scales could be useful for a detailed measurement of neurological deficits in acute stroke and better assess the efficacy of a treatment and functional outcome.

How to cite this article: Siniscalchi A. Use of stroke scales in clinical practice: Current concepts. Turk J Emerg Med 2022;22:119-24.

Ethics Committee Approval

This manuscript does not consist of human subject research and therefore is not under the jurisdiction of an Institutional Review Board.

Author Contributions

AS: Conceptualization‑Data curation-Formal analysis-InvestigationMethodology.

Conflict of Interest

None declared.

Financial Disclosure



Antonio Siniscalchi serves as a national member for the Italian National Society of Neurovascular Disease (SINV).